MEDICARE: TOGETHER CDS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1649726761
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOGETHER CDS LLC

Provider Business Mailing Address
First Line	:	917 DELAIRD DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63137-2717
Country	:	US
Telephone Number	:	314-688-5336
Fax Number	:

Provider Business Practice Location Address
First Line	:	917 DELAIRD DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63137-2717
Country	:	US
Telephone Number	:	314-688-5336
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MISS VANESSA WILLIAMS
Credential	:
Telephone Number	:	314-688-5336

Provider Enumeration Date	:	08/29/2016
Last Update Date	:	08/29/2016

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